Individual
MR. JOSEPH EDWARD ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSAC
Contact information
Practice address
614 KILAUEA AVE, SUITE 102A, HILO, HI 96720-4272
(808) 339-0262
Mailing address
PO BOX 2294, PAHOA, HI 96778-2202
(808) 332-0262
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1816-14
HI
Other
Enumeration date
03/10/2015
Last updated
05/20/2016
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